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21 Cards in this Set
- Front
- Back
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-base to clavicles (loudest) to carotids
-midsystolic -cres-decres -softer on hand grip (increases periph resistance) |
Aortic Stenosis
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MCCs of Aortic Stenosis
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congenital bicuspid AV, aging
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MC Systolic Murmurs
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aortic stenosis, mitral valve regurg
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-radiates apex to axilla
-holosystolic -softer on hand grip |
Mitral Valve Regurge
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-mid-to-late systolic w/clicks at start
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MItral Valve Prolapse
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MCC of Mitral Valve Regurg
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CHF, MIs, M valve prolapse, Rheumatic fever, endocarditis
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-LL sternal border
-midsystolic - louder w/valsalva maneuver |
Hypertrophic cardiomyopathy
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-midsystolic
-3rd IC space -thrill |
VSD
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MCC of VSD
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congenital, trauma, complication of cardiac catheterization (rare)
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MCC Right-Sided Systolic Murmurs
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Tricupsid Regurg and Pulmonary Stenosis
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-holosystolic
-RLSB (right lower sternal border) -louder on inspiration |
Tricuspid Regurg
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MCC Tricuspid Regurg
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R sided endocarditis (IVDA)
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-base
-midsystolic -louder on inspiration |
Pulmonic Valve Stenosis
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MCC Diastolic Murmurs
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Aortic Regurg, Mitral Stenosis
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More Common - Diastolic or Systolic?
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Systolic
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-base to LL sternal border
-lean forward on expiration to hear -S2 into early decrescendo into pause into S1 -low rumbling |
Aortic Regurg/Insufficiency
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Causes of Aortic Regurg/Insufficiency
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MCC: aortic aneurysms, aortic dissection, congenital defects & valve degeneration
(also: -Marfan syndrome -ankylosing spondylitis - Endocarditis -HTN -Reiter syndrome - Syphilis - SLE) |
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-found at apex, no radiation
-hear best w/patient in L lateral decubitous position -increases w/exercise -low pitch -late diastolic |
Mitral Valve Stenosis
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MCCs of Mitral Valve Stenosis
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-rheumatic fever
-congential malformations |
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Diastolic Murmurs
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Mitral Valve Stenosis
Aortic Regurg/Insufficiency (also: Pulmonic Regurg/Insufficiency Tricuspid Valve Stenosis) |
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Systolic Murmurs
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Mitral Valve Regurg
Aortic Stenosis (also: Pulmonic Stenosis Tricuspid Valve Regurg Hypertrophic cardiomyopathy VSD) |
